Homelingua - Intensive Language and communication skills training

+44 (0)1993 813713

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How To Book

Make an online booking
How to Pay
Make an online payment
Cancellation, terms and conditions

How To Book

Make an online booking
How to Pay
Make an online payment
Cancellation, terms and conditions

Make an enquiry
Book a course
Call us: +44 1993 813 713'

How to make a booking
How to pay
Terms and Conditions

Book a Course

To make a booking please fill out the form below.

Personal details

Personal details

Title:

First name:

Family name:

Company name:

House name:

House number:

Street:

City/Town:

Prefecture:

Postcode:

Country:

Contact telephone:

Mobile number:

Email address:

Date of birth:

Native language:

Nationality:

What are your hobbies and interests ?:

Do you have a physical disability that may affect your stay in any way ?:

Yes

Explain your disability:

Do you smoke?:

Yes

Emergency contact

Emergency contact

Name:

Address:

Contact telephone:

Your Course

Your course

Number of hours/lessons per week:

Course name:

Course dates

From:

To:

Activities

1 Activity is equal to 3 lessons

Activities

Number of lessons & activities:

Which activities would you like to do with your teacher?

First choice:

Second choice:

Third choice:

Fourth choice:

Fifth choice:

Sixth choice:

Location & accommodation

Location & Accommodation

I would prefer a teacher in this location

First choice:

Second choice:

Third choice:

I will arrive into this airport/station:

Do you have any allergies ?:

Yes

Explain your allergy:

In what kind of home would you prefer to stay ?

In what kind of home would you prefer to stay ?

Children: *

with children

no children

don't mind

Pets: *

with pets

no pets

don't mind

Location: *

town

countryside

don't mind

Private bathroom requested (there is a supplement for this option):

Yes

Your level of English

Your level of English

Do you study English at the moment ?:

Yes

How long have you studied English for ?:

Do you use English in your work ?:

Yes

Please estimate your level of English:

Speaking:

Listening:

Reading:

Writing:

Grammar:

What area of English do you want to develop ?:

Other information:

Arrival & departure

Arrival & Departure

Would you like Homelingua to arrange a driver/taxi to meet you on arrival and/or departure ?: *

arrival only

departure only

arrival & departure

not required

Your travel dates

From:

To:

I have read and understand the Terms and Conditions of bookings: *

Yes

Call us today on +44 (0)1993 813 713 or email us at info@homelingua.com

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© Homelingua 2008. All right reserved.
Homelingua, 5 The Quadrangle, Banbury Road, Woodstock, Oxfordshire OX20 1LH, United Kingdom
Telephone: +44 (0)1993 813713 | Fax +44 (0)1993 813714 | info@homelingua.com

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